Subcontractor Management Plan (SMP) : Purpose

Doc No: SMP
STURGEON ELECTRIC COMPANY
Initial Issue Date 01/01/2011
Safety Management System
Revision Date: Initial Version
Revision No. 0
SUBCONTRACTOR MANAGEMENT PLAN (SMP)
Next Revision Date: 01/01/2011
Preparation: Safety Mgr Authority: Vice President Issuing Dept: Safety Page: Page 1 of 9

Purpose
The purpose of this program is to ensure that STURGEON ELECTRIC COMPANY continues to improve subcontractor
health, safety and environmental performance and to establish a standard for pre‐qualification,
evaluation/selection and development of our subcontractors.
Scope
This program applies to all subcontractors and all STURGEON ELECTRIC COMPANY locations.
General Requirements
All STURGEON ELECTRIC COMPANY subcontractors are to be managed in accordance with this program.

The use of subcontractors must be pre‐approved by STURGEON ELECTRIC COMPANY. Approval requirements
include:

 A formal safety review of the subcontractor being performed by STURGEON ELECTRIC COMPANY safety
department.
 The scope of the review was commensurate with the hazards and risk exposure.
 Subcontractor has been/will be oriented to the safety policies, expectations and requirements of
STURGEON ELECTRIC COMPANY.
 The subcontractor agrees to abide by our Drug and Alcohol policy and onsite safety rules throughout the
duration of the work.

Any subcontractor that has a “Non‐Approved” safety status will not be used on any STURGEON ELECTRIC
COMPANY site.
Procedure
Pre‐Qualification of Subcontractors
Subcontractors will be pre‐qualified by reviewing their safety programs, safety training documents and safety
statistics.
Evaluation Safety Metrics
Acceptable safety metrics will be used as criteria for prequalifying and selecting subcontractors. The safety metrics
and scoring will consider:

 STURGEON ELECTRIC COMPANY Subcontractor Safety Pre‐Qualification Form responses and
subcontractor safety program documents review 60% (Rated from 0‐60 total points)
 Subcontractor safety training documents review 20% (Rated from 0‐20 total points)
 Subcontractor safety statistics review 20% (Rated from 0‐20 total points)
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Evaluation Rating and Acceptance
The subcontractor rating system will have five designations:

 Equal to or Greater than 90 points = A – no restrictions.

 Between 85 and 89 points = B – Mitigation plan must be documented and approved by STURGEON
ELECTRIC COMPANY Safety.

 Between 81 and 84 points = C – Mitigation plan must be documented and approved by STURGEON
ELECTRIC COMPANY Safety; management approval in writing.

 Between 71 and 80 points = D – Mandatory commitment meeting with senior subcontractor management
present; mitigation plan documented and approved by STURGEON ELECTRIC COMPANY Safety;
management approval in writing; trained subcontractor safety personnel on site during work regardless of
number of workers.

 Less than 70 points = F – not to be used.

Once each subcontractor has been evaluated and scored, STURGEON ELECTRIC COMPANY safety will provide
management the scores/ranking.

STURGEON ELECTRIC COMPANY reserves the right to change a subcontractor’s status to “Non‐Approved” if the
subcontractor shows insufficient progress towards accepted mitigation plan or other agreed upon criteria.
Subcontractor Involvement
Contractors are required to follow or implement the work practices and systems described below while performing
work at STURGEON ELECTRIC COMPANY worksites:

 Attend an safety orientation, pre‐job meeting or kick‐off meeting provided by STURGEON ELECTRIC
COMPANY prior to any work beginning
 Monitor employees for substance abuse and report nonconformities to STURGEON ELECTRIC COMPANY
 Ensure personnel have the required training and competency for their work
 Participate in STURGEON ELECTRIC COMPANY tailgate safety meetings, job safety analysis or hazard
assessments and on the job safety inspections.
 Perform a pre‐job safety inspection that includes equipment
 Participate in the BBS hazard reporting system
 Report all injuries, spills, property damage incidents and near misses
 Comply with onsite and Owner Client safety rules
 Implement STURGEON ELECTRIC COMPANY safety practices and processes as applicable
 Clean up and restore the worksite after the job is over
 Ensure compliance with regulations at all times
 Post job safety performance reviews shall be conducted for subcontractors.

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SUBCONTRACTOR SAFETY PRE-QUALIFICATION FORM

GENERAL INFORMATION
1. Subcontractor Information:
Subcontractor Name: Telephone Number:
Street Address: Fax Number:
City: Website Address:
Province/State: Postal Code/Zip:

2. Officers
President:
Vice President:
Treasurer:
3. How many years has your organization been in business under your present firm’s name?
4. Parent Firm Name:

City: Province/State: Postal Code/Zip:
Subsidiaries:
5. Under current management since (Date): (please enter date as mm/dd/yyyy)

6. Contact for Insurance Information:
Title: Telephone: Fax: Email:
7. Insurance Carrier(s):
Name Type of Coverage Telephone
8. Worker’s Compensation Account Status (Please enclose a copy of your workers compensation
insurance certificate.
Account Number: Industry Code:
9. Contact for requesting bids:

.
10. Contractor Evaluation form completed by:
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HEALTH, SAFETY AND ENVIRONMENTAL PERFORMANCE
Health, Safety and Environmental Performance
Provide the following data for your firm using your record keeping forms from the past three (3) years.
If the data is not available please reply with Not Available - N/A.
Safety Performance Definitions and Guidance

a. Hours Worked Employee hours worked last three years. Please report actual scheduled total hours worked
and total overtime hours worked. If actual hours worked are not available for certain individuals hours worked
may be estimated. A default of 2000 hours per individual per year can be used as an estimate.
b. Recordable Incidents Recordable cases are those that involve any work-related injury or illness, including
death but excluding first-aid injuries.
c. Lost Workday Cases A Lost Workday Case is a medical case that involves fatalities, days away from work
cases or restricted work activity cases.
 Days Away from Work Case Where the employee is away from scheduled work day one day or more
after the day of a work related injury or illness. The day of the incident does not count as lost workday.
Stop count when total days away and restricted duty days reach 180 or employee leaves the firm.
 Restricted Work Activity Case Where the employee as result of work-related injury or illness:
 Assigned to another job on a temporary or permanent basis or
 Worked at their permanent job but less than a full day
 Could not perform routine functions associated with their permanent job
The day of the incident is not counted as a Restricted Duty day. Stop count when total days away or
restricted duty days reach 180 or if employee leaves the firm.
d. Motor Vehicle Incident A motor vehicle is any mechanically or electrically powered devices (excluding one
moved by human power), upon which or by which any person or property may be transported upon a land
roadway.
 Motor Vehicle Incident Includes any event involving a motor vehicle that is owned, leased or rented by
the firm that results in death, injury or property damage unless the vehicle is properly parked.
Health and Safety Incidents 2009 2008 2007
a. Total Hours Worked

b. Total Recordable Incidents
# Fatalities
# Medical Aids
# Days Away from Work Cases
# Restricted Work Activity Cases
c. Total Recordable Incident Rate (TRIR)
Total # Recordable Incidents x 200,000
Total # Hours worked
d. Lost Workday Cases (LWC)
# Fatalities
# Days Away from Work Case
# Restricted Work Activity Case
e. Lost Workday Incident Rate (LWDR)
Total # Lost Workday Incidents x 200,000
Total # Hours Worked
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HEALTH, SAFETY AND ENVIRONMENTAL PERFORMANCE
Health and Safety Incidents - continued 2009 2008 2007
f. Motor Vehicle Incidents (MVI)
# Motor Vehicles Incidents
# Kilometers/Miles driven
g. Motor Vehicle Incident Frequency Rate (MVIFR)
Total # of Firm’s Motor Vehicle Incidents x 1,000,000
Total # Kilometers/Miles driven
Environmental Incidents 2009 2008 2007
Total # Spills to Water
a. Petroleum Spills
# spills Sheen (est. volume as 0.1 bbl. To < 1bbl.
# spills 1 bbl. To < 100 bbls.
# spills 100 bbls. or more
b. Chemical Spills
# spills 1 bbl./160 kg. to < 100 bbls./16,000 kg.
# spills 100 bbls./16,000 or more
Total # Spills to Land
a. Petroleum spills
# spills 1 bbl. To < 100 bbls.
# spills 100 bbls. or more
b. Chemical Spills
# spills 1 bbl./160 kg. to < 50 bbls./8,000 kg
# spills 50 bbls./8,000 kg. or more
Enforcement Actions 2009 2008 2007
Citations
# Health and Safety
# Environmental
Please provide details
Fines
Total # Fines
Total $$ Paid
Please provide details
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HEALTH, SAFETY AND ENVIRONMENTAL MANAGEMENT

Highest ranking HSE professional in the firm:
Telephone Numbers
Name/Title: Email:
Do you have a written Basic Safety / HSE Program? Yes No
Does your Basic Safety/HSE Program include the following?
a. HSE Policy statement signed by management Yes No

b. Management Involvement and Commitment Yes No
c. Hazard Identification and Risk Control Yes No
d. Rules and Work Procedures Yes No
e. Training Yes No
f. Communications Yes No
g. Incident and Accident Reporting and Investigation Yes No
Does the program include work practices and procedures

such as?
a. Permit to Work including Isolation of Energy Yes No
b. Confined Space Entry Yes No
c. Injury and Illness Recording Yes No
d. Fall Protection Yes No
e. Personal Protective Equipment Yes No
f. Portable Electrical/Power Tools Yes No
g. Motor Vehicle/Driving Safety Yes No
h. Compressed Gas Cylinders Yes No
i. Electrical Equipment Grounding Assurance Yes No
j. Powered Industrial Vehicles (Cranes, Forklifts, Etc.) Yes No
k. Housekeeping Yes No
l. Accident/Incident Reporting and Investigations Yes No
m. Unsafe Condition Reporting Yes No
n. Emergency Preparedness, Including Evacuation Plan Yes No
o. Waste Disposal and Pollution Prevention Yes No
p. Regular Workplace Inspection / Audits Yes No
Do you have a Drug and Alcohol program?

Yes No
a. Pre-employment Testing
Yes No
b. Reasonable Cause Testing
Yes No
c. Post-rehabilitation/Return to Work Testing
Yes No
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Do you have a Job Safety Analysis (JSA) process in place? Yes No
Is there a Root Cause Analysis process used for
Yes No
investigations, near misses, environmental spills?
Is there a Management of Change (MOC) Process in place? Yes No
Do you have programs for the following?
a. Respiratory Protection Yes No
b. Where applicable, have employees been:
 Trained Yes No
 Fit tested Yes No
 Medically approved Yes No
c. Hazard communication/WHMIS Yes No
d. Programs for potential high hazard work such as Highly
Yes No
Hazardous Chemicals; Explosives and Blasting Agents
Do you have a corrective action process for addressing
individual/employee safety and health performance Yes No
deficiencies?
Medical
a. Do you conduct medical examinations for:
 Pre-placement Job Capability Yes No
 Pulmonary Yes No
 Respiratory Yes No
b. Describe how you intend to provide first aid and other
medical services while on-site.
Do you have personnel trained to perform first aid and CPR? Yes No
Personal Protective Equipment (PPE)
a. Is applicable PPE provided for employees? Yes No

b. Do you have a program to assure that PPE is inspected and
Yes No
maintained?
HSE Meetings Frequency
a. Do you hold site HSE meetings for?
Yes No
 Field Supervisors
Yes No
 Employees
Yes No
 New Hires
Yes No
 Subcontractors

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Inspections and Audits Frequency
a. Do you conduct internal HSE Inspections? Yes No
b. Do you conduct internal HSE program audits? Yes No
c. Are corrections or deficiencies to internal
HSE program or equipment communicated Yes No
and documented until closure?
Equipment and Materials:
a. Do you own or lease Equipment and Materials? If yes,
Yes No
please complete the following questions:
b. Do you have a system for establishing applicable health,
safety, and environmental specifications for acquisition of Yes No
materials and equipment?
c. Do you conduct inspections on operating equipment (e.g.,
cranes, forklifts) in compliance with regulatory Yes No
requirements?
d. Do you maintain operating equipment in compliance with
Yes No
regulatory requirements?
e. Do you maintain the applicable inspection and maintenance
Yes No
certification records for operating equipment?
f. Do you document corrections or deficiencies from equipment
Yes No
inspections and maintenance?
Subcontractor Management
a. Do you subcontract any work? If the answer is yes, please
Yes No
complete the following questions:
b. Do you have a written contractor safety management
Yes No
process?
c. Do you use HSE performance criteria in selection of
Yes No
subcontractors?
d. Do you evaluate the ability of subcontractors to comply with
applicable HSE requirements as part of the selection Yes No
process?
e. Do your subcontractors have a written HSE Program? Yes No
f. Do you include your subcontractors in:
 HSE Orientation Yes No
 HSE Meetings Yes No
 HSE Equipment Inspections Yes No
 HSE Program Audits Yes No
 Are corrections or deficiencies documented Yes No

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Employee and Trades Training
a. Have employees been trained in appropriate job
Yes No
skills?
b. Are employees’ job skills certified where required by
Yes No
regulatory or industry consensus standards?
c. List trades/crafts which have been certified:
Health, Safety and Environmental Orientation New Hires Supervisors

a. Do you have an HSE Orientation Program for new
Yes No Yes No
hires and newly hired or promoted supervisors?
b. Does the program provide instruction on the
following:
 New worker orientation Yes No Yes No
 Safe Work Practices Yes No Yes No
 Safety Supervision Yes No Yes No
 Toolbox meetings Yes No Yes No
 Emergency Procedures Yes No Yes No
 First Aid Procedures Yes No Yes No
 Fire Protection and Prevention Yes No Yes No
 Safety Intervention Yes No Yes No
 Hazard Communication/WHMIS Yes No Yes No
Health, Safety and Environmental Training
a. Do you know the regulatory HSE training requirements for
Yes No
your employees?
b. Have your employees received the required HSE training
Yes No
and re-training
c. Do you have a specific HSE training program for
Yes No
supervisors?
Training Records
a. Do you have HSE and training records for your
Yes No
Employee’s?
b. Do the training records include the following:
 Employee identification Yes No
 Date of training Yes No
 Name of trainer Yes No
 Method used to verify understanding Yes No
c. How do you verify understanding of training? (Check all that apply)
Written test Oral test Performance test Job Monitoring Other (List)

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Doc No: SMP

SUBCONTRACTOR SAFETY PRE-QUALIFICATION FORM

Subcontractor Name: Telephone Number:

Street Address: Fax Number:

City: Website Address:

Province/State: Postal Code/Zip:

4. Parent Firm Name:

5. Under current management since (Date): (please enter date as mm/dd/yyyy)

9. Contact for requesting bids:

Safety Performance Definitions and Guidance

Health and Safety Incidents 2009 2008 2007

a. Total Hours Worked

HEALTH, SAFETY AND ENVIRONMENTAL MANAGEMENT

Do you have a written Basic Safety / HSE Program? Yes No

Does your Basic Safety/HSE Program include the following?

a. HSE Policy statement signed by management Yes No

Does the program include work practices and procedures

Do you have a Drug and Alcohol program?

HEALTH, SAFETY AND ENVIRONMENTAL MANAGEMENT

Personal Protective Equipment (PPE)

a. Is applicable PPE provided for employees? Yes No

HEALTH, SAFETY AND ENVIRONMENTAL MANAGEMENT

Health, Safety and Environmental Orientation New Hires Supervisors

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